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The anterior approach uses an interval between the sartorius muscle and tensor fasciae latae. This approach, which was commonly used for pelvic fracture repair surgery, has been adapted for use in hip replacement. When used with older hip implant systems that had a small diameter head, dislocation rates were reduced compared to posterior surgery.
An anterior-posterior (AP) X-ray of the pelvis and a cross-table lateral X-ray [24] of the effected hip are ordered for diagnosis. [4] [5] [16] The size of the head of the femur is then compared across both sides of the pelvis. The affected femoral head will appear larger if the dislocation is anterior, and smaller if posterior. [7]
The modified posterior MIS approach to hip resurfacing and total hip arthroplasty (hip replacement) displays a host of advantages to the patient: Less post-operative pain; Less soft tissue damage and pressure on muscle fibres. Shorter hospital stay; Lower blood loss; Smaller incision; Quicker return to work and functional activities [2]
Hip replacement surgery can be performed from three main directions, each with advantages and disadvantages The classical approach is the posterior, and requires dissection of the gluteus maximus and other large muscles of the back of the thigh to access the acetabulum.
A hip fracture is when you break the ball of your hip or your femur (where the thigh bone meets the hip). It usually causes severe, sudden pain after a fall or car accident. Tendonitis
The posterior approach is the most common and practical of those used to expose the hip joint. The posterior approaches allow excellent visualization of the femoral shaft, thus are popular for revision joint replacement surgery in cases in which the femoral component needs to be replaced.
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